Iphule kwiThambo eMpini Yakho Ephezulu
Ukuphuka kwe-humerus kukulimala kwithambo lesengalo esezantsi edibanisa ihlombe kwi-elbow. I-Humerus fractures ihlulwe ngokuhlukileyo kwiintlobo ezintathu zokulimala ngokusekelwe kwindawo yokuphuka. Umphezulu wesifuba lesengalo ubizwa ngokuba yi-humerus ehamba phambili, kwaye phantsi kwethambo kuthiwa yi-distal humerus. Phakathi phakathi kwe-shaft ye-humerus.
I-Humerus Proracimal Fractures
I-humerus i-Proximimal fracture iqhutyelwa kufuphi nomxhelo. Umxhelo wegxa ngumxube webhola kunye ne-socket , kunye nebhola ibe yintsika ye-humerus bone. Ukuhlukana kwale bhola kuthathwa njengezinto eziphambili ze-humerus. Ezi ziqhekeza zingabandakanya ukufakwa kweetekoni ezibalulekileyo zokujikeleza. Ngenxa yokuba ezi ziphathekayo zibalulekile ekuhambeni kwesigxina, unyango lunokuxhomekeka kwisikhundla salezi zifakelo.I-Mid-Shaft i-Humerus Fractures
I-mid-shaft i-humerus fractures ivela kude nehlombe kunye neelbow joints. Uninzi lwama- shaft fractures luya kuphulukisa ngaphandle kokuhlinzwa, kodwa kukho ezinye iimeko ezifuna ukungenelela ngoncedo. Ezi nzakalo zixhaphake kakhulu kunye nokulimala komnye wemisipha emikhulu engalweni, ebizwa ngokuba yi- radial nererve . Ukulimala kule ndlu kungabangela iimpawu kwisandla nangesandla.I-Humper Distractures
Ukulimala kwama-humerus ama-distrac ukukhubazeka okuqhelekileyo kubantu abadala. Ezi ziqhekeza zenzeka kufuphi nomxube weelbow. Ezi ziqhekeza zidla ukufuna unyango ngaphandle kokuba amathambo egcinwe kwindawo efanelekileyo. Olu hlobo lwenkunkuma luxhaphake kakhulu kubantwana , kodwa unyango luhluke kakhulu kweli qela leminyaka.
Izizathu
I-Humerus fractures iyakwenzeka ngokulimala kweentlobo ezahlukeneyo kodwa eziqhelekileyo zibangelwa ukuwa. Ezinye iintlobo zokulimala ezingabangela ukuphuka kwe-humerus kubandakanya izingozi zemoto kunye nokulimala kwezemidlalo. Ukongezelela, ngamanye amaxesha ukuphuka kwe-humerus kwenzeka xa ithambo libuthathaka ngenxa yesisu, isifo okanye ezinye iingxaki.
Le meko ibizwa ngokuba yi- pathologic fracture .
Unyango
Iindaba ezilungileyo kukuba iindawo ezininzi ze-humerus ziyahlula ngaphandle kokuhlinzwa. Uninzi lwezigulane lunokuphathwa ngetyunja okanye kwi-brace, kwaye kunye nexesha eliza kuphulukana. Ukugxotha akunakwenzeka ngeentlobo ezininzi ze-humerus.
Ukuphelelwa kwintsholongwane kunokufuneka xa amaqhekeza amathambo engekho sikhundla. Ukuchonga xa ukulungelelaniswa kwamkelekile kuxhomekeke kwizinto ezininzi. Izifucu ezikufuphi kwiphepha kunye neelbow joints, ngokukodwa iifracture eziya kwidibeneyo, ziyakudinga ukuhlinzwa. Ngokwahlukileyo, ukuhlukana phakathi kwe-shaft yesithambo akufuneki ukuba kwenziwe utyando, kwanokuba iziqhekeza zethambo zingabonakali ngokuhambelana.
Iingxaki
Uninzi lwabantu abanokuphuka kwama-humerus luya kuhamba ngokuqhelekileyo okanye kumsebenzi oqhelekileyo kunye nokuhamba kwengalo yabo. Kukho iingxaki ezinokwenzeka zokugcina i-humerus fracture. Ezinye zezi ngxaki zibandakanya:
Ukungabambisani nantoni : Ukungabandakanyeki kubakho xa isifo esaphukileyo singaphilanga. Kukho izizathu ezininzi ezenza ukuba amathambo angaphilanga, kwaye unyango kufuneka luqinisekise ukuba ingxaki ebangela ukuba kungabikho nxaxheba kungabhekiswa. Esinye sezizathu eziqhelekileyo zokungabandakanyekanga kutshaya iteksi.
I-Malunion : I-malunion ivela xa ithambo liphilisa, kodwa kungekhona ukulungelelaniswa okufanelekileyo. Iingxowa ziyakwenzeka ngenxa yokuba ithambo ayinakulinganiswa ngokwaneleyo. Ngamanye amaxesha utyando lwenziwa ukwenzela ukuthintela ithambo ekuphiliseni kwindawo ephosakeleyo.
Ukulimala kwegazi : Amagulane ahamba phantsi ingalo, kwaye ayesondelene ngokuthe ngqo kwi-oserus bone. Ingqungquthela ye-radial, ngokukodwa, iyaziwa ngokuba yalimala xa i-humerus iphukile. I-radial nererve inikeza inzwa kwisandla sangasemva kwaye ingabangela ukuphazamiseka kunye ne-tingle kule ndawo. Uninzi lwamaxesha amaninzi i-nerve iya kuphucula kancane kwiinyanga ezimbalwa.
Ubunzima okanye ubuthakathaka obunzima okanye obunzima : Iingxaki ezinxulumene nomxhelo ziqhelekile emva kokuphazamiseka kwe-humerus, kunye neengxaki ze-elbow eziqhelekileyo emva kokuphuka kwe-humerus. Ukulahleka kweendlela eziqhelekileyo zokunyakaza kuyaqhelekileyo, kwaye ubuthathaka buya kwenzeka nokuba kukho umonakalo we-muscle okanye we-tendon.
Imithombo:
> Cadet ER, et al. I-Humx Proximal ne-Humeral Nonunions J Am Acad Orthop Surg . 2013 Sep; 21 (9): 538-47.
> Carroll EA, et al. Ulawulo lwe-Shared Fractures J Am Acad Orthop Surg kuJulayi 2012 vol. 20 ayi. 7 423-433.